Presentation
Abstract We present a case involving a 66-year-old woman with a history of childhood somnambulism who presented with a recent recurrence of sleepwalking. [ncbi.nlm.nih.gov]
Neurologic
- Morning Headache
Thirty-six prepubertal children (19 girls) with parental report of at least 8.5 hours of nightly sleep, absence of known daytime consequences of sleep disorders (eg, daytime sleepiness, cataplexy, hyperactivity, morning headache, mouth breathing), and [doi.org]
Workup
[…] and physical examination Electroencephalography (EEG) may be helpful; microarousals and sleep state disorganization are often noted on EEG done during nocturnal sleep See DDx and Workup for more detail. [emedicine.medscape.com]
Six to 7 months after the initial visit, reevaluation included the same clinical workup as at entry, review of the sleep logs obtained at the previous follow-up visits, and review of the nocturnal polysomnograms. [doi.org]
EEG
- EEG Slowing
OBJECTIVE: The sleep structure and the dynamics of EEG slow-wave activity (SWA) were investigated in 12 young adults and age- and gender-matched controls. [ncbi.nlm.nih.gov]
Treatment
A variety of treatments have been recommended, but well-designed controlled clinical trials are lacking. [oxfordhandbooks.com]
Generally, if sleepwalking is causing distress or danger in spite of safety measures, medical or psychological treatment is indicated. Clinicians will need to assess the evidence for treatment options. [ncbi.nlm.nih.gov]
Prognosis
Prognosis The prognosis for sleepwalking is good. Most children experience a few episodes of somnambulism and then simply stop, often when a source of stress or anxiety is removed. [healthofchildren.com]
Prognosis The NREM parasomnias are rarely associated with any significant morbidity or long-term sequelae. [emedicine.medscape.com]
The prognosis is generally excellent for childhood onset and poorer for adult onset (Sharma S., 2007). Conclusion Somnambulism is relatively common among children and secondary causes must be ruled out. [priory.com]
Etiology
The diagnosis of somnambulism was confirmed polysomnographically and linked etiologically to the start of using metoprolol, a lipophilic beta-blocker, for treating her hypertension. [ncbi.nlm.nih.gov]
This chapter discusses the clinical presentation, etiology, polysomnographic findings, diagnostic considerations, prevalence, and treatment options associated with these two parasomnias. Sleepwalking and sleep terrors share many characteristics. [oxfordhandbooks.com]
Etiology Causal mutations have been... [evidence.nhs.uk]
Epidemiology
Strengthening the Reporting of Observational Studies in Epidemiology (STROBE): explanation and elaboration. Epidemiology. 2007;18(6):805–35. pmid:18049195 View Article PubMed/NCBI Google Scholar 23. [doi.org]
There have been few scientific reports of trauma associated with somnambulism and no published investigations on the epidemiology or trauma patterns associated with somnambulism. [ncbi.nlm.nih.gov]
That knowledge will be shared at a lecture being presented by Dr Stallman at UniSA in mid-October, with a focus on epidemiology, medication-induced sleepwalking and violence during sleepwalking. [w3.unisa.edu.au]
Woodward M.,Epidemiology: study design and data analysis, 3rd ed. Boca Raton: Taylor & Francis; 2014. American Psychiatric Association. Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition. [ojs.ukw.edu.pl]
Lynskey, Genetic Epidemiology of Liability for Alcohol‐Induced Blacking and Passing Out, Alcoholism: Clinical and Experimental Research, 43, 6, (1103-1112), (2019). Samuel F. Acuff, Andrew T. Voss, Ashley A. Dennhardt, Brian Borsari, Matthew P. [dx.doi.org]
Pathophysiology
BACKGROUND: Despite its high prevalence, relatively little is known about the pathophysiology of somnambulism. [ncbi.nlm.nih.gov]
Somnambulism: clinical aspects and pathophysiological hypotheses. Lancet neurology. 2013 Mar;12(3):285–94. pmid:23415568 View Article PubMed/NCBI Google Scholar 3. Ohayon MM, Guilleminault C, Priest RG. [journals.plos.org]
Somnambulism: clinical aspects and pathophysiological hypotheses. Lancet Neurol. 2013;12(3):285-294. PMID: 23415568 www.ncbi.nlm.nih.gov/pubmed/23415568. Updated by: Amit M. [nlm.nih.gov]
The co-occurrence of SW and RBD in most of our patients raises 2 possible pathophysiologic explanations. [doi.org]
[…] sleepwalking, accident during sleep walking References Markov D., Jaffe F., Doghramji K., Update on parasomnias: a review for psychiatric practice, Psychiatry (Edgmont)., 2006 Zadra A., Desautels A., Petit D., Montplaisir J., Somnambulism: clinical aspects and pathophysiological [ojs.ukw.edu.pl]
Prevention
But precautions should be taken to prevent injuries such as falling down stairs or climbing out of a window. You probably do not need to visit your provider. [medlineplus.gov]
[…] burns keeping keys out of reach Sleepwalking prevention Helping your child develop good sleep habits and relaxation techniques can help prevent sleepwalking. [healthline.com]
To prevent falls, don't let your sleepwalker sleep in a bunk bed. Remove sharp or breakable things from around your child's bed. Keep dangerous objects out of reach. [kidshealth.org]
The best measures are preventative: ensure that the sleepwalker is in a safe room for walking, and cannot accidentally fall through an open window or down stairs. [medicinenet.com]